Jared Eldon Roberts, MD is a
Student In An Organized Health Care Education/training Program physician based in Dallas, Texas. Jared Eldon Roberts is licensed to practice in Texas (license number S5483) and his current practice location is 5323 Harry Hines Blvd, Dallas, Texas. He can be reached at his office (for appointments etc.) via phone at
(214) 645-2400.
NPI number for Jared Eldon Roberts is 1629494935 and his current mailing address is 5323 Harry Hines Blvd, Dallas, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629494935.
Physician's Profile
| Full Name | Jared Eldon Roberts |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 5323 Harry Hines Blvd, Dallas, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1629494935
- Provider Enumeration Date: 03/11/2014
- Last Update Date: 04/26/2024
Medical Identifiers
Medical identifiers for Jared Eldon Roberts such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629494935 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | S5483 (Texas) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | S5483 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jared Eldon Roberts is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jared Eldon Roberts, MD
5323 Harry Hines Blvd,
Dallas, TX 75390-7201
Ph: () - | Jared Eldon Roberts, MD
5323 Harry Hines Blvd,
Dallas, TX 75390-7201
Ph: (214) 645-2400 |
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